Individual provider Active NPI

Isel Cabrera-Gonzalez

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1114677358
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248
Phone
(702) 410-5090
Fax
(702) 405-8951
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248

Mailing address

5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248
Phone (702) 410-5090

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ICANOTES Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newway Neurotherapy Health and Wellness PastSince Apr 3, 2022 Accepting new patients
Newway Neurotherapy Health and Wellness PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1114677358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "702-410-5090",
            "fax_number": "702-405-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "702-410-5090",
            "fax_number": "702-405-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA-GONZALEZ",
        "first_name": "ISEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ICANOTES",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5130 S Pecos Rd Ste 1B",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891201248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.